RER (13-0102)• -P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Td4t
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00000102
Property Address: 80215 MERION r
APN: 762 -191 -002 -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5500
Applicant: Architect or Engineer-
-------------------------------
LICENSED
ngineer--—-------————---------------- -
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 773 900
Date (7K Contractor:
OWNER -BUILDER DECLARATION -
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
• construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or -herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within -
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.):
(_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. -
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( I I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.). -
Lender's Name:
Lender's Address:
LQPERMIT - -
Owner:
BRIAN SPERRY
80215 MERION
LA QUINTA, CA 92253 Frp
Contractor:
GONZALEZ COMPANY, J
523 SOUTH CALVADOS Al
COVINA, CA 91723
(626)874-9768
Lic•. No.: 773900
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/22/13. .
MAR, X2413
C� NA F _A QUINYA
IVCE peF,T
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations:
' I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. '
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
' Code, for the performance of the work for which this permit is issued. -My workers' compensation
insurance carrier and policy number are:
Carrier'EXEMPT Policy Number EXEMPT
6 2/ %gcertify that, in the performance of the work for which this permit is issued, I shall not employ any
l�fCJ person in any manner so as to become subject to the workers' compensation laws of California,
\� and agree that, if I should become subject to the workers' compensation provisions of Section
3(700 of the Labor Code, I shall forthwith comply with those provisions.
Date: Applicant: lf
Q . Ste. 4 _
.- WARNING�FAILURE ITO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL -
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon' whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall. defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation. - -
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Date: A Signature (Applicant.or Agent): , _121 Y1
-
Application Number . . . . . 13-00000102
------ - Structure Information ENTRYWAY AND SUNKEN BAR REMODEL
-----
Other struct info ., CODE EDITION 2010
Permit . . ELECT - ADD/ALT/REM
Additional.desc
:.
Permit Fee 26.00 Plan Check Fee
6.50 '
Issue Date Valuation
0
Expiration Date 9/18/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 .11-.0000 EA ELEC MISC
11.00`
Permit PLUMBING
Additional desc .
Permit Fee . . 24.00" Plan Check Fee
6.00
Issue Date . . .. Valuation,_
0
Expiration Date 9/18/13
Qty Unit ChargePer
Extension
BASE FEE
15.00
1.00 6.0000 EA PLB FIXTURE
6.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
-- - - - - - - - -
Special Notes and Comments
REMOVE RAISED ENTRYWAY AND FILL SUNKEN
BAR AREA (CONVENTIONAL] THIS PERMIT DOES
NOT INCLUDE ALTERATION TO THE EXISTING
DWELLING FOUNDATION - ANY ALTERATION TO
THE EXISTING FOUNDATION WILL REQUIRE
REVIEW AND APPROVAL BY APPLICANTS
ENGINEER AND THE BUILDING DEPARTMENT.
2010 CALIFORNIA BUILDING CODES.
March 4, 2013 10:18:42 AM AORTEGA
-----------------_-_------------------------
Other Fees . . . BLDG STDS ADMIN .(SB1473)
1.00
STRONG MOTION (SMI) - RES
.55
Fee summary Charged Paid Credited
Due
----------------- ------
Permit Fee.Total 50.00. .00 .00
50.00
Plan Check Total 12.50 .00 .,00
12.50 .
Other Fee Total 1.55 .00 00
1:55
Grand Total 64.05 .00 .00
64.05
f
LQPERMIT
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Permit
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ProjectAddress
Clt}/ Of4 Quinta
BLOOM ar Safety Divlslon
P.O. Box 1504,78-495 Cage Tampico
La.Quinta, CA 92233 -:(760) 777-7012 /✓ / �%
Building Permit Applicadon'and TrackingSheet /.
5 Owner's Name:.
A. P. Number.
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Address: Q Z / /' C f// llJ�. /
Legal Description:
Contractor. G
coo yL�j(
City. ST, Zip: i r2 92753
Telephone: �� / • 0�3
Address: U b
Project Description: MOMJMXW�
City, ST, Zip- ''1,'�,�0
3 P-4 "- ► S
TO 6Jt . l-�i l LOWZX
Telephone Z
State Lia iE : n
City Lic. 4;
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O'A Z 6-4-41 „`T
Arc&, Eng, Designer.
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
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Construction Type:. Occupancy:
Project type (circle one): New Add'n Al Demo
Sq. FL: q Unii$:
E Val of project t
Telephone i of Contact Person'17i.. '� 1 [a
APPUCAN
T: DO NOT WRITE eel -
N
Submittal
Rcq'd
• Reed
TRACMG
PERMIT FEES.
Pian Sets
Plan Check submitted
Item Amount
Structural Catcs.
Reviewed, ready for corrections
Plan Check Deposit,
Truss Cates.
Called Contact Person
Pian Check Balance.
Title 24 Cates.
?tans picked up
Construction
Flood plain plan
Pians rembmitted. .
Meebarilcal
Gradlag plan
Subeoataetor List
Z' Review, ready for cormcdonsfissue
Called Contact Person
Electrical
Plamblag
Grant Deed
Plans picked up
S24.I.
ILO.A. Approval
Plans resubmitted
Grading
INHOUSE:-
*4 Review, ready for correctlonsAnue
Devdoper Impact Fee
Planning Approval
Called Contact Person
Ad P.P. T i N
Pub. Wks. Appr
Date of permit issue
School Fen
Total permit Fees
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S�pMNE�
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JUL 1.0 2013
t ,
CITY OF LA QUINTA
1 FINANCE DEPT.
I
I
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
: (760) 777-7125
INSPECTION REQUEST LINE
OF (760) 777-7153
Owner BRIAN SPERRY
Contractor GONZALEZ COMPANY, J L
Permit Number 13-102
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-215 MERION
REMOVE RAISED ENTRYWAY AND FILL
SUNKEN BAR AREA [CONVENTIONAL] THIS
PERMIT DOES NOT INCLUDE ALTERATION
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED.
INTERIOR GYP. BD. (DRYWALL)
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
PERIMETER SURFACE BONDING
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING Co
MECHANICAL
PUBLIC WORKS DEPARTMENT
PLANNING DIVISION
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN 'ON'UTILITIES OR OCCUPY BUILDING
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DATE: REV ISED
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DATE: REV ISED
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APPROVED BY:
SCALE: U
DATE: A&k %11 vL0
DRAWN
REVISED